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HomeMy WebLinkAbout97-6421 BUILDING PERMIT NO CITY OF ZEPHYRHILLS Permit. (813) 788-6611 6421/1 Rb - 0-0 Date / - ,;) [J-97 BUILDING PLUMBING 20. crD <:MECHANICAO Sewer Conn Water Conn: Pmperty Owno" jj~ h Job Address: .38-) / . ~ j A-- Water Meter: T.I.F.'s: Parcell.D. # Zoning: Energy Code: Description of work----f! ..(A..) +/ C Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. .;;)-Jf--9 DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee --5'-0 - o---c.} Signature ~~/7t/ ~- Company . Address Telephone# Valuation or ~ / Contract Price D) (TV. 0-0 City License Registration # ~ I State Certified License# BUILDING ~j({~~9 ELECTRICAL (J f)t1Yt~ PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Con st. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERKIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAME 8/1 h b I.' ft5 ') '( / /? Vv;'/1 te/ /)y-; PHONE / r? -/,0 ff 3 te'f'4r4;,/ri pL J 55<'( / OWNER'S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition --Alteration -..:Repair .,k-Install _Sign -'love _Deaolish PROPOSED USE: _Single Faaily _H/F _' of Units _K/H _ec:-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: j ~ ,t; f",. If jJ H r)., "'7C! / /1;'/(0 '7/ ~/fh E/~T f:I(?,y t BUILDING SIZE: X Square Feet, Height RESIDENTIAL: COMMERCIAL ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS, ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. _BUILDING $ "J-, I (J /) I ~r? AKP Service Florida Power Corp. $ i;( ~!; I, 5?~ Valuation of _leal IDstallation J GAS ROOFING SPECIALTY PERKITS REOUESTED Valuation of Total Construction x:= W.R.E.C. PLUMBING - . TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FIliISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUTI.DER COMPANY State Cert. or Regist. . City License Registration I .................:::::::~~.;:~.~~<: State Cert. or Regist. f lCJl., 0 t ll2 ~ City License Registration' ~, ****************************************** Signature :::~~ PLUMBER Signature COMPANY State Cert. or Regist. I City License Registration . ****************************************** ~ COMPANY I />(;'7/li.d" \. \ State Cert. or Regist. , ('0 1 ~~ j City License Registration . ********* ************************** Signature ,. MECHANICAL /- I OTIIRR COMPANY State Cert. or Regist. , City License Registration # ****************************************** Signature APPLICATION APPROVED BY PERKIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be subject to "deed restrictions" which Jay be lOre restrictive than City regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor JaY be cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireJents JaY apply for tbe intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 788-6611. FurtherlOre, if the owner bas hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for whicb they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that JaY be an indication that he is not properly licensed and is not entitled to perJitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law - HOJeOWDer's Protection Guiden prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOJeOne other than the nowner", I certify that I have obtained a copy of the above described docUJeDt and prOlise in good faith to deliver it to the "owner" prior to cOll8llceJent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land develo.-ent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land develo.-ent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveI1lleDtal agencies Jay apply to the intended wort, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: * Departaent of EnviroDJeDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDJeDtally Sensitive Lands, Water/Wastewater Treataent * Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways * DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tants * US EnvirODlental Protection Agency - Asbestos abateJent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a .cOlpensating VOlUlen will be subJitted whicb is prepared by a professional engineer registered in the State of Florida p'rior to perlit. issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or Bet aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOle invalid unless tbe work authorized by such pertit is cOllenced lIithin six IOnths of issuance, or if 1I0rk authorized by tbe perlit is suspended or abandoned for a period of six IOntbs after the tile the IIOrk is co.enced. One 90 day extension of tile, JaY be allowed for the pertit with fee charge of $15.00. The extension shall be requested in IIriting to tbe Building Official. An approved inspection lUst be logged during each sil IOnth period, or the project lIill be considered abandoned. NARHIHG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEMBMI HAY RESULT IN YOUR PAYING NICE FOR IHPROVBMmS TO YOUR PROPERTY. IF YOU IlffElfD TO OBTAIN FINAHCIHG, CONSULT WITH YOOR LIlfDER OR AI AnoRm BEFORE RECORDING YOUR NOTICE OF COHHENCEHRlfT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED '1'0 RECORD AJfD POST A "NOTICE OF COHHBHCEHElff". SIGNATURE: OIIHER OR AGElff SIGNATURE: COlffRACTOR STATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has producednas identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC OWNER /~ t 1.../ d ,. / . -1- + ,. b 7 I I ) 7ft/I) 'vv'-1 j(' / L/r Z ~;,tfl ~ /J. '1/~ · ?, >5 C( ; ~ JOB LOCATION PARCEL 1.0. . SHOW ALL EXISTING' PROPOSID STRUCTURSS-GIVING DIHENSIONS , SETBACKS. /J~~ /Y tZ4// I-,))J/ Cf1 ;J.T O,N -W-kv/ -~ I ;J~ V0 c ) Lt:J~ [)(?efJ fJ J- /-- v./' ,,/ e 7 /1\. "- Ac I-~ /",3 , I I I I 1 UTILITY BUILDINGS HUST SHOW SIZE & FOUNDATION INFOR- MATION. ~ 011- . FRONT PROPIRTY LINE . .~- (NOTE EXAMPLES 1 & 2) STREET 1, SETBACKS FOR Rl, R2 ZONING 60' 2. SETBACKS rOR R3 ZONING 60' 10' P E- R X 0 I 10~ P S 10' 0 T S I E N D G 20' 1 0' . 10' .' 10' EXISTING' 10' PROPOSED ,. 20.' SGL FAN JO'DUPLEX I .1 1 O' .' . . ". . E:RONT PROPERTY LINB fRONT PROPERTy'LINB FOR CA~PORTS QR Ll~~ ~TRUCTURE~ PL~ASE. COMPLETE TijE FOLLO~I"G~ (1) DESCRIBE WHAT TYPE: 'FREE' STANDING OR ATTACHED (CIRCLE ONE). (2) IF ATTACHED, HOW IS IT TO Bt fASTENED TO STRUCTURE? (3) DESCRIBE POST SPACING' FASTENING (If TO CONCRETE, IN WHAT HANNER?) (4) GIVE DIMENSIONS OF CARPORT LENGTH, WIDTH, & HEIGHT: (5) GIVE AMOUNT OF OVERHANG FROM STRUCTURAL SUPPORT: (6) COMPLY WITH REQUIRED SETBACKS AS GIVEN IN ABOVE REFERENCED PLOT PLAN. ~.. i:' .. Pro.poaal O'Donovan's Air-conditioning and Heating 6610 16th St. Zephyrhills Fl.33540 Phone: 782-4075 January 27, 1997 To: Babbitts 38117 Winter Dr. Zephyrhills Fl. Ph:783-1083 Estimate to install two ton packaged airconditioner with ~ K.W. Heil system. to. 10 SEER Heil $2,100. 11 SEER if available. One year warranty on labor. Five year warranty on parts roofor Heil. Five year warranty on compressor. Price includes thermostat, slab, ductwork, electrical and taxes. The above prices, conditions and specifications are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Accepted: Date: ;/R)~? Sig~c. ~~:i